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C-e J w " '1 -7 <br /> �� <br /> ADDRESS OUS��iEATING TEST RECORD APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. `Y� <br /> SOLD BY INSTALLED BY o6 7 7173;� T <br /> 777 71 <br /> Electrical Work By Gas Line By k&. <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> ZAGAS D SIGN CONVERSION <br /> MAKE (Il0 MAKE OF BURNER <br /> Model r IVI,2 — — Model <br /> Serial 63 Max. BTU Rating <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTAT Heat-Plug Vent Size_ <br /> Valve KIND OF LINER SIZE NON <br /> Limit t" cc) Draft Hood �� Reguiaror k ' o <br /> Limit Setting Filters Size Nu r <br /> Fan Setting Chimney Location Inside X Outside <br /> Pilot Type 16,ac 7/Z L) Chimney Construction U1 <br /> Pilot Make aw le, <br /> Pilot Model 3-YJ Smoke Bomb Wiring <br /> Pilot Timing Draft Test Too. <br /> L.W. Cut Off ��_ Door Pressure Lighting Inst. <br /> Pressure % �.r Percent CO 3 Date Tested <br /> 2 / .— <br /> Input CFH �` ___�__Percent 02 kt Company Testing <br /> Stack Temp. Percent COtC2y- Name of Tester <br />